Principles of Wound Management in Clinic

Running Head: Principles of Wound Management in Clinic
Principles of Wound Management in Clinic
Name of the Student:
Name of the University:
Author Note:

Principles of Wound Management in Clinic1
Table of Contents
Assessment I...............................................................................................................................2
Assessment Task 2- Scenario...................................................................................................12
References................................................................................................................................20

Principles of Wound Management in Clinic2
Assessment I
1. The confidentiality and privacy of the patient is maintained by developing a patient
privacy and confidentiality policy. It is ensured that this policy is extended to the
partner. This confidential policy should be in secured systems and the best IT
security policies should be implemented.
2. A. Epidermis
B. Papillary layer
C. Dermis
D. Reticular layer
E. Subcutaneous layer
F. Hair follicle
G. Hair shaft
H. Pore
I. Dermal papillae
J. Melanocytes
K. Hair follicle
L. Blood cell
M. Apocrine Sweat gland
N. Eccrine Sweat gland
O. Pacirial corpuscles
P. Adipose connective tissue
3. The wound healing process has four steps. They are- homeostasis phase,
inflammatory phase, proliferative phase and maturation phase.
Homeostatic phase deals with the closing of the wound by clotting. The platelets
stick to the wound site and takes up an amorphous shape. These activated platelets

Principles of Wound Management in Clinic3
secrete chemicals that promote clotting which activates fibrin. Fibrin forms a mesh
like structure that enables the platelets to stick to each other and successfully form
a clot.
Inflammatory phase causes dead and damaged cells are removed from the system
by means of phagocytosis by white blood cells. The platelet derived growth factor
helps in growth and proliferation of cells.
Proliferative phase initiates the growth of new tissues. New blood vessels are
formed by vascular endothelial cells by the process of angiogenesis. Fibroblasts
secrete fibronectin and collagen and forms new extracellular matrix. This stage
ensures wound contraction as well.
Maturation phase realigning of the collagen occurs and cells which are not required
are removed by the process of apoptosis (Harper, Young and McNaught, 2014).
4. Moist environment has a positive impact on wound healing promising a faster
healing than wounds that normally dry out. Three advantages of healing wounds in
a moist environment is:
 Ensures faster healing of the wound
 Moist wound causes a hypoxic environment that prevents invading of
bacteria and maintains a proper pH ensuring angiogenesis.
 Moist wound healing reduces pain and this reduces stress followed up by
lesser fatigue in the patient promoting faster healing and mobility of the
patient (Junker et al, 2013).
The key factors that affect wound healing includes-
 Stress and negative mood that may cause social isolation
 Sleep disturbances
 The exudates from the wound and the pain (Upton & South, 2011).

Principles of Wound Management in Clinic4
It has been evident in the research studies that living with wound has psychological
impact. Research studies has demonstrated that the patient with wound suffers from
anxiety and depression as result of continuous pain. In addition to this, they sometime
feel themselves as burden on their family members (Pereira, Figueiredo-Braga, &
Carvalho, 2016).
5. The characteristic wound tissues discussed are as follows:
 Necrotic tissues indicate dead tissues in the wound area due to lack of
oxygen supply. It causes cells to be acidic which releases enzymes that
break the cell.
 Sloughy tissue is categorised under necrotic tissue and it separates itself
from the site of the wound. Tissues become fibrous in nature.
 Granulating tissue is new connective tissue growing at the wound surface.
This indicates a sign of healing.
 Epithelizing tissue forms a barrier between the wound and the
environment. This tissue is formed during the re-epithelialization phase in
the process of the wound healing.
6. a) The clinical manifestations of wound interventions if wound infection is
 Purulent drainage- This is a milky white discharge from the wound which
indicates infection.
 Serous drainage- this is a thin watery discharge from the wound that
consists of blood cells, proteins and other cells that heat the body.
b) Three strategies to prevent wound infection includes:
 The wound should be washed with antiseptic or at least soap immediately.
 After applying ointment, it should be covered with bandages or gauze.

Principles of Wound Management in Clinic5
 The dressings should be changed every day and the wound should be kept
dry.
c) Measures to minimise cross infection are:
 Early diagnosis of infection prevents the spreading of it.
 Healthy wound care practices: Sanitary wound bed preparation,
debridement and maintenance of moist environment and appropriate on
time dressings.
d) Educating patients to prevent infection of wound includes:
 Daily dressing of the infected area and keeping the wound covered.
 Pain management training should be done to avoid pain as it restricts the
flow of blood.
 Non adhesive dressing tapes should be used and wound should be dry.
7.
Type Colour Consistency Significance
Serous Clear Watery It signifies damage in the wound
Haemoserou
s
Red Thick Signifies internal damage
Sanguinous Bright red Thick Signifies damage in blood vessels
and capillaries
Purulent translucent Mesh like
and thick
Signifies presence of infection
8. The importance of wound cleaning are:
 It prevents microbial infections on the wound site
 Helps hasten the wound recovery process